This study seeks to compare how patients rank perception of anxiety, modesty, dignity and overall satisfaction when patients are provided with either a standard patient gown or a standard patient gown plus a pair of specialized surgical undergarments (COVR Medical) for orthopedic surgical procedures.

Given the movement in patient modesty, and the limited number of studies focused specifically on how preserving patient modesty/privacy impacts the patient's perception of the hospital experience, targeted studies with larger sample sizes are clearly needed to better understand these complex interactions. This study seeks to compare how patients rank perception of anxiety, modesty, dignity and overall satisfaction when patients are provided with either a standard patient gown or a standard patient gown plus specialized surgical undergarments (COVR Medical) for orthopedic surgical procedures. The investigators hypothesize that the group with the standard patient gown plus a specialized surgical undergarment will have lower anxiety and increased perception of modesty, dignity, and satisfaction. A secondary objective is to determine whether there is a difference in treatment surgical subgroups regarding anxiety, modesty, dignity, and overall satisfaction.

Inclusion Criteria:

• Patients scheduled to undergo surgery by a musculoskeletal surgeon at The CORE Institute orthopedic Specialty Hospital (CISH).
• Adults 18 years or older.
• Will receive orthopedic surgery of the lower extremity, upper extremity or spine.
• Speaks, reads, and understands English
• Enrolled pre-operatively within 3 weeks of surgery date.

Exclusion Criteria:

• Unwilling to provide informed consent.
• Unwilling to participate in surveys.
• Body habitus outside of the COVR medical size range. (See Appendix 1)
• Procedure that does not meet the medical billing and coding definition of Surgery.
• Incarcerated.

No individual participant data will be shared.

Patients will be blinded to the difference between garment groups.